|
Personalised Wooden Plaques Order Form |
| Please
print out and post or fax it (secure
payment via the net not available here yet) |
| The Studio, Copthorne Lane, Fawley,
Southampton, SO45 1DP. UK. |
| Tel: 023
8089 8741 Fax:
0870 8555419 Email: plaques@woodplaques.co.uk |
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You can have any words you
like in any position around the plaque. (indicate required
design) |
| Online
ordering is not secure on this site
Please print the form out, fill it in and fax or post it.
|
Top of Plaque
..
Bottom of Plaque
.
Left of Plaque
.
.
Right of Plaque
Additional
Info...
...............................................................................................................................................
...............................................................................................................................................
..............................................................................................................................................
Your Name
.
.
Your Phone No.
..
.
| I enclose a cheque (with guarantee no. on back) made
payable to T Rapson for £35 which includes UK p&p (rest
of the world add £5) |
| or (delete one)
(price increase due to wood
shortage) |
Please debit £35 from my Visa / Mastercard for
UK destinations or £40.00
from my
Visa / Mastercard for other destinations
outside UK (sorry not Switch Cards)
|
Card Number
Expiry Date
..
..
.
Print Card Holders Name
.
Visa
Mastercard (tick one)
| Please Print Clearly
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| this will be |
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| used as your |
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| delivery address
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| Use your |
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| POST CODE please
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